| NPI | 1700064482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP TODARO President/Physician 229-246-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 015330) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-06-02 |